[Early metastatic dissemination after nephro-ureterectomy for upper urinary tract tumour: a possible role of laparoscopy?]. / Dissémination métastatique précoce après néphro-urétérectomie pour tumeur de la voie excrétrice supérieure: quelle responsabilité de la coelioscopie?

Laparoscopic nephro-ureterectomy has been proposed as an alternative to conventional double-incision surgery to treat upper urinary tract tumours. A case of hepatic and pulmonary metastatic dissemination four months after laparoscopic nephro-ureterectomy for pT3 N0 M0 intra-renal urothelial carcinoma raises the question of the possible role of laparoscopy in the rapidly unfavourable course of the disease. This case is discussed in the light of a review of the literature.